An aching tooth can make your life miserable. Pain, difficulty eating, inability to sleep, headaches and earaches are some of the problems that often accompany a toothache. If you have any of these symptoms and suspect a damaged tooth, a trip to the dentist is in order to see if root canal treatment might be needed.
What is root canal therapy? Although it has gotten a bad reputation over the years, it is the best way to save your tooth once infection has set in. The cause for the problem can vary, including deep tooth decay, a faulty crown, trauma, or repeated dental procedures. Once the inside of the tooth called the pulp becomes damaged, root canal treatment is the ideal solution. If you don’t seek treatment, severe pain and possible tooth loss may be in your future.
During root canal therapy, the damaged tooth pulp is carefully removed so that the interior of the tooth can be thoroughly cleaned and disinfected. Then the tooth is filled and sealed using a special material. Finally, the tooth is fully restored with a crown or filling to offer protection from future damage.
What are the positive outcomes of root canal treatment? First, it gives you back the complete function and natural appearance of your real tooth. You avoid getting a hole in your smile or needing a procedure like a dental implant. Root canal treatment restores your normal sensation and biting force, providing for efficient and painless chewing. This treatment also protects other teeth from receiving excessive wear, since your real tooth remains in place and able to take its fair share of tooth wear. Of course, treatment will also relieve the pain and other symptoms associated with your damaged tooth.
Root canal treatment is usually quite simple when performed by a qualified dental professional. Modern techniques allow the process to be as comfortable as just getting a normal filling. The procedure may be completed in only a couple of appointments and the end result will be a long-lasting, healthy tooth.
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If you suspect you have an infected tooth, you might wonder if root canal treatment might be in your future. Do you have another option? Yes! One such alternative has been in existence for decades, but has only recently come to be more effective due to advancements in materials. This process is called pulp capping.
Pulp capping can help patients whose root infections have not yet reached the tooth’s nerve. Root infections begin when bacteria enters the pulp of the tooth through a crack or a large cavity. In a standard root canal procedure, the pulp and nerve of the tooth is hollowed out, cleaned and sealed, typically with a crown restoration.
With pulp capping, the nerve is preserved and the tooth is often repaired with a filling instead of a crown. Pulp capping allows the dentist to clean and protect the pulp, defending it from infection with medicine. With a successful pulp cap, the dentin of the tooth begins to regrow over the pulp cap. Advancements in the sealants used during these types of procedures has allowed for a greater percentage of success.
If you have a toothache, it’s important to see your dentist immediately. Pulp capping has a narrow window in which it can be performed. If your tooth is too infected, the pulp and nerve of your tooth may already be infected, and it’s too late for pulp capping to be effective.
A pulp cap is a far less invasive procedure than a root canal treatment or a tooth extraction, and there is less recovery time and tooth sensitivity following the treatment.
If you suspect you may have a tooth in trouble, talk to your dentist now. You might be able to save yourself a root canal treatment.
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An endodontist is a dentist who has undergone additional training specializing in saving teeth through treatments that involve the pulp and root of teeth. If you have been diagnosed by your family dentist with an infected tooth that requires root canal therapy, it would be logical to seek treatment by a dental professional who is specifically trained in root canal procedures. To find a qualified endodontist for your root canal treatment, consider the following:
- Ask for a referral from your family dentist to an accredited diplomate of the American Board of Endodontics. You may also consider asking friends and family members who have undergone root canal therapy for recommendations of endodontists.
- Inquire about the extent of the endodontist’s education and training as well as the number of root canal procedures they have performed. You will want to look for a doctor with an established practice and extensive track record of root canal experience.
- Find out what type of equipment the doctor utilizes to ensure they are up-to-date on the most recent advances in endodontic therapy and dental technology.
- Ask about the sedation and pain-relief options the endodontist provides for root canal patients.
- Evaluate the endodontist and staff to determine if they make you feel comfortable, welcome, and are able and available to answer your questions.
Root canal treatment can be a stress-free and painless experience when performed by the right dental professional. Taking the time and effort to identify a qualified endodontist will help to ensure the ease and success of your procedure, and soon have you back on the road to a healthy smile.
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Root canal treatments are specifically designed to relieve the tooth pain associated with an infected tooth root. Patients come in with pain, and often leave the procedure with less discomfort than before. However, if you’ve recently had a root canal treatment on one or more of your teeth, you might be experiencing discomfort following the procedure. Fortunately, there are things you can do at home to take care of it.
Are your gums sore, tender or swollen surrounding the affected tooth? This is likely the result of the tiny metal clips that affix a rubber dam around the tooth, protecting it and protecting your mouth. The clips are attached along the gum line, and can leave tiny bruises or sometimes small cuts in the soft gum tissue. This pain should alleviate within two days of the treatment.
Is the tooth itself sore? This is a common occurrence and is typically the result of an inflammation of the mouth tissues that encase the tooth root. The tools used by the endodontist to perform the procedure can irritate the tissues.
Both of these types of pain can be dealt with by several over-the-counter analgesics. The ones that are most recommended to treat dental pain are those that possess anti-inflammatory agents: naproxen sodium, ibuprofen or aspirin, etc. If you are also taking narcotics prescribed by your dentist, do not take any further medication, over-the-counter or prescription, until you have checked with your dentist. Dangerous reactions can occur.
If you have been prescribed antibiotics, do not stop until you have completed each recommended dose. This ensures that your tooth remains free of infection and can heal thoroughly.
Ask your endodontist if you have other concerns about treating your post-root canal treatment pain.
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Sometimes a tooth is so severely damaged that the only way to save it is with root canal treatment. There is no reason to turn and run if your dentist advises this procedure. The treatment has advanced to the point that it’s often compared to getting a filling. There are certain steps that will be performed as part of nearly every root canal procedure.
Preparation
X-rays may be taken as part of the diagnosis process or to determine the extent of damage. Once the dentist is ready to begin treatment, a local anesthetic will be used to numb the area throughout the procedure.
Pulp removal
A rubber dam will be placed around the tooth to separate the area from the rest of the mouth, and to keep it dry from saliva. The tooth will be opened, often using a small dental drill, to gain access to the pulp inside the tooth. The damaged pulp will be removed, and if there is an abscess it will be drained.
Cleaning and filling
After the pulp is eliminated, the dentist will thoroughly clean the area. The root canal will be widened if needed to create an adequate space for the filling. Depending on the extent of the damage, this step of the process can take up to several hours to complete or it can be spread over more than one visit. A temporary filling is sometimes used to seal the area between visits. If infection is present, the dentist may prescribe antibiotics.
Sealing
The temporary filling will be removed and the permanent filling placed to fully seal the tooth and prevent future infection. If the tooth has been filled at the root, the risk of breaking is higher so a crown may be recommended for protection.
Crown placement
Crowns help prevent further damage or fracturing. If needed, the tooth will be reduced somewhat to allow space for the crown. It will be held in place securely with dental cement.
Recovery
After root canal treatment, the tooth should survive for many years. The procedure may be repeated if re-infection occurs.
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Root canal therapy is a painless procedure performed when decay has caused enough damage to a tooth that the tooth is dying or has already died. During treatment, your dentist or endodontist removes the diseased or damaged pulp from the tooth and then refills the tooth cavity. To ensure a successful and pleasant treatment, here are some basic do’s and don’ts to follow:
- Do take any medication your dentist has prescribed for you to take prior to root canal therapy.
- Don’t anticipate pain; be calm and relaxed during your treatment.
- Do expect mild discomfort for 2-3 days following the procedure. Apply an ice pack and sleep with your head elevated to minimize swelling.
- Don’t skip on taking prescribed pain medications, even if you are not experiencing extreme pain.
- Do avoid biting on hard foods or meddling with the affected tooth during the course of treatment.
- Don’t drink excessively hot or cold beverages until the completion of treatment.
- Do continue normal brushing on the root canal treated tooth.
- Don’t smoke or drink alcohol within 24 hours of root canal therapy.
- Do eat a soft diet for several days and avoid chewing on the treated tooth until a permanent restoration is placed.
- Don’t delay having the treated tooth capped with a crown or other restoration to avoid fracture or additional damage, causing failure of your root canal therapy.
- Do contact your dental professional immediately should you have any complications or questions during your recovery, and make sure to keep any follow-up appointments scheduled by your dentist or endodontist.
Root canal therapy has a 95% success rate. By following these simple guidelines, you can help to ensure a positive result from your root canal therapy and enjoy many more years of a healthy smile.
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